Organization Active NPI

Otto J. Tor, D.D.S., LTD.

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1962717314
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19014420 Issued in IL
Legal business name
OTTO J. TOR, D.D.S., LTD.
Practice address
15614 S Harlem Ave
Suite a
Orland Park, IL 60462-4402
Phone
(708) 614-1111
Fax
(708) 614-1117
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Otto James TorNPI 1003077413
Title
President
Phone
(708) 614-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19014420 IL Primary

Addresses

Primary practice location

15614 S Harlem Ave
Suite a
Orland Park, IL 60462-4402

Mailing address

15614 S Harlem Ave
Suite a
Orland Park, IL 60462-4402
Phone (708) 614-1111

National Provider Directory

National Provider Directory

Locations

15614 S Harlem Ave
Ste A
Orland Park, IL 60462
Phone (708) 614-1111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1962717314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15614 S HARLEM AVE",
            "address_2": "SUITE A",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624402",
            "telephone_number": "708-614-1111",
            "fax_number": "708-614-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 S HARLEM AVE",
            "address_2": "SUITE A",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624402",
            "telephone_number": "708-614-1111",
            "fax_number": "708-614-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO J. TOR, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "TOR",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-614-1111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19014420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.